title: Worksite wellness program for respiratory disease prevention in heavy-construction workers.
abstract: OBJECTIVE
  To describe a respiratory disease prevention program in a US heavy-construction company.
  
  
  METHODS
  The program uses periodic spirometry and questionnaires and is integrated into a worksite wellness program involving individualized intervention. Spirometry Longitudinal Data Analysis (SPIROLA) technology is used to assist the physician with (i) management and evaluation of longitudinal spirometry and questionnaire data; (ii) designing, recoding, and implementing intervention; and (iii) evaluation of impact of the intervention. Preintervention data provide benchmark results.
  
  
  RESULTS
  Preintervention results on 1224 workers with 5 or more years of follow-up showed that the mean rate of FEV1 decline was 47 mL/year. Age-stratified prevalence of moderate airflow obstruction was higher than that for the US population.
  
  
  CONCLUSIONS
  Preintervention results indicate the need for respiratory disease prevention in this construction workforce and provide a benchmark for future evaluation of the intervention.
authors.affiliation: Division of Respiratory Disease Studies, National Institute for Occupational Safety and Health, Centers for Disease Control and Prevention, Morgantown, WV 26505, USA. ehnizdo@cdc.gov
authors.forename: Eva
authors.initials: E
authors.lastname: Hnizdo
authors.forename: Angela
authors.initials: A
authors.lastname: Berry
authors.forename: Artak
authors.initials: A
authors.lastname: Hakobyan
authors.forename: Lu-Ann
authors.initials: LA
authors.lastname: Beeckman-Wagner
authors.forename: Larry
authors.initials: L
authors.lastname: Catlett
mesh_terms: D000328:Adult; D003430:Cross-Sectional Studies; D005260:Female; D006293:Health Promotion / Q000379:methods*; D006801:Humans; D007221:Industry; D008137:Longitudinal Studies; D008297:Male; D008875:Middle Aged; D009786:Occupational Health Services; D029424:Pulmonary Disease, Chronic Obstructive / Q000517:prevention & control; D012140:Respiratory Tract Diseases / Q000517:prevention & control*; D013147:Spirometry; D011795:Surveys and Questionnaires; D014481:United States